CRITICAL THINKING in Nursing Practice: chapter 14

1. CRITICAL THINKING in Nursing Practice: chapter 14 • “…active, organized, cognitive process used to carefully examine one’s thinking and the thinking of others.” • Involves use of MIND • Form conclusions • Make decisions • Draw inferences • reflect

2. BEGIN WITH: Questions: • What do I really know about this nursing care situation? • How do I know it? • Whatoptions are available to me?

3. THREE INPORTANT ASPECTS • REFLECTION: purposefully thinking back /recalling. Requires honest review • LANGUAGE: precise & clear resulting in clear message • INTUITION: inner sensing that something is so

4. LIFELONG PROCESS NURSING PRACTICE ALWAYS CHANGING THINKING AND LEARNING

5. LEVELS OF CRITICAL THINKING IN NURSING • BASIC – CONCRETE, BASED ON SET OF RULES OR PRINCIPLES • COMPLEX: “IT DEPENDS” • COMMITMENT: CHOOSE AN ACTION & STAND BY IT

6. Scientific method Problem solving Decision making Diagnostic reasoning and inference Clinical decision making CRITICAL THINKING COMPETENCIES

7. ‘NURSES DO NOT MAKE MEDICAL DIAGNOSES, BUT THEY DO ASSESS AND MONITOR CLIENTS CLOSELY AND COMPARE THE CLIENTS’ SIGNS AND SYMPTOMS WITH THOSE THAT ARE COMMON TO A MEDICAL DIAGNOSIS.”

8. Nursing process as a competency • Five steps: • Assessment • Diagnosis • Planning • Implementation • Evaluation

9. SYSTEMATIC APPROACH • GATHER DATA • CRITICALLY EXAMINE & ANALYZE • IDENTIFY RESPONSE • DETERMINE PRIORITY • ESTABLISH GOALS & EXPECTED OUTCOMES • TAKE ACTION • EVALUATE

10. Knowledge base Experience Competence Attitudes standards Critical thinking model, five components:

11. Confidence Thinking independently Fairness Responsibility & accountability Risk taking Discipline Perseverance Creativity Curiosity Integrity Humility ATTITUDES FOR Critical Thinking

12. STANDARDS • Intellectual standards: preciseness, accuracy, consistency • Professional standards: ethical criteria, scientific & practice-based criteria, criteria for professional responsibility “These standards “raise the bar” for the responsibilities and accountabilities that a nurse must assume in guaranteeing quality health care to the public.”